Suchergebnisse

Purpose
The purpose of this paper is to examine the role of self-help groups (SHGs) in providing an environment for the empowerment of Indian rural women. The authors argue that the SHG empowerment strategy paves the way for the process of development of bottom-up empowerment of women. The authors argue that SHG is a systematic strategy and is not solely based on credit, but also incorporates many other dimensions necessarily required for developing an empowerment process.


Design/methodology/approach
A qualitative study was the choice of design due to the inherent inability of the structured surveys to understand women empowerment (Mayoux, 1998), as this study was basically interested in the women's perception of their own empowerment. To explore their experience, a series of semi-structured interviews and focus group discussions were conducted.


Findings
The authors stand by the application of SHG empowerment strategy in India and go against the rhetoric statements that "top to bottom" approach does not lead to a significant bottom-up empowerment.


Originality/value
The survey was conducted by the authors in the vicinity of rural Jaipur, Rajasthan, India. Moreover, during the survey, it was found out that participation in SHG facilitates women to know the current state of disempowerment and provides them strength, capacity to come out from the status of drudgery, poverty and seclusion.

IntroductionThe International Classification of Diseases (ICD) is globally used for coding morbidity statistics, however, its use, as well as the training provided to individuals assigning codes, varies greatly across countries.
Objectives and ApproachThe goal is to understand the quality of coder training worldwide. After an in-depth grey and academic literature review, an online survey was created to poll the 194 World Health Organization (WHO) member countries. Questions focused on hospital data collection systems and the training provided to the coding professionals. The survey was distributed to potential participants that meet the specific criteria, as well as to organizations specialized in the topic, such as WHO-CC (WHO Collaborating Centers) and IFHIMA (International Federation of Health Information Management Association), to be forwarded to their representatives. Answers will be analyzed using descriptive statistics.
ResultsThis ongoing project aims to capture responses from as many countries as possible, and thus far, data from 45 respondents from 20 different countries has been collected. Initial results reveal worldwide use of ICD, with variations in the maximum allowable coding fields for diagnoses and interventions. Coding specialists are the main personnel assigning codes, followed by physicians, and although minimum training is not mandatory in all countries (Sweden, Italy, Germany and Thailand), in those where it is, college/university degree is the most common requirement. Coding certificates most frequently entail passing a certification exam. Continuing education for coders is offered in all countries except one (Nigeria). Once more information is available, countries will be ranked and those depicting a better performance will be highlighted.
Conclusion/ImplicationsThese survey data will establish the current state of ICD use and coding training internationally, which will ultimately be valuable to the WHO for the promotion of ICD and the rollout of ICD-11, for better international comparisons of health data, and for further research on how to improve ICD coding.

Background The International Classification of Diseases (ICD) is widely used by clinical coders worldwide for clinical coding morbidity data into administrative health databases. Accordingly, hospital data quality largely depends on the coders' skills acquired during ICD training, which varies greatly across countries. Objective To characterise the current landscape of international ICD clinical coding training. Method An online questionnaire was created to survey the 194 World Health Organization (WHO) member countries. Questions focused on the training provided to clinical coding professionals. The survey was distributed to potential participants who met specific criteria, and to organisations specialised in the topic, such as WHO Collaborating Centres, to be forwarded to their representatives. Responses were analysed using descriptive statistics. Results Data from 47 respondents from 26 countries revealed disparities in all inquired topics. However, most participants reported clinical coders as the primary person assigning ICD codes. Although training was available in all countries, some did not mandate training qualifications, and those that did differed in type and duration of training, with college or university degree being most common. Clinical coding certificates most frequently entailed passing a certification exam. Most countries offered continuing training opportunities, and provided a range of support resources for clinical coders. Conclusion Variability in clinical coder training could affect data collection worldwide, thus potentially hindering international comparability of health data. Implications These findings could encourage countries to improve their resources and training programs available for clinical coders and will ultimately be valuable to the WHO for the standardisation of ICD training.